Individual
LAURIE SPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
(855) 851-4405
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05666600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5155606
—
NJ
01
—
P01003627
RR MEDICARE
NJ
Enumeration date
12/29/2005
Last updated
07/21/2022
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